type, category, person, date, source
| type |
category |
person |
date |
source |
| 1042 |
tax |
Xuewei Jiang |
2015-12-31 |
lu_1042_baylor_2015.pdf |
Form 1042-S - Baylor University (2015)
Foreign Person's U.S. Source Income Subject to Withholding
Key Information
| Field |
Value |
| Income code |
20 |
| Gross income |
$1,975 |
| Chapter 3 indicator |
X |
| Exemption code (3a) |
04 |
| Exemption code (4a) |
16 |
| Tax rate (3b) |
0.00% |
| Tax rate (4b) |
0.00% |
| Federal tax withheld |
$0 |
| Net income |
$0 |
| Tax withheld by other agents |
$0 |
| Total withholding credit |
$0 |
| Tax paid by withholding agent |
$0 |
| Amount repaid to recipient |
$0 |
| State income tax withheld |
$0 |
| State |
TX |
Withholding Agent
| Field |
Value |
| Name |
Baylor University, Mark C. Falsone |
| EIN |
74-1159753 |
| Ch. 3 status code |
20 |
| Address |
P.O. Box 97042 |
| City/State/ZIP |
Waco, TX 76798-7042 |
Recipient
| Field |
Value |
| Name |
Xuewei Jiang |
| U.S. TIN |
092-99-3215 |
| Foreign ID |
092993215 |
| Ch. 3 status code |
16 |
| Country code |
CH |
| Account number |
891545196 |
| Date of birth |
03/13/1993 |
| Address |
1-1-401, Huangtai South Road 79# |
| City/Country |
Jinan, Shandong, China, People's Republic of 250014 |
Copies
- Copy D for Recipient (page 1) and Copy B for Recipient (page 1 top half)
- Copy C for Recipient (page 2)